Amputation stump neuroma: Ultrasound features

Provost, Ninon; Bonaldi, V. M.; Sarazin, L.; Cho, Kil Ho; Chhem, Rethy

doi:10.1002/(sici)1097-0096(199702)25:2<85::aid-jcu7>3.0.co;2-f

Cited by 63 publications

(39 citation statements)

References 13 publications

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“…It is hard to differentiate stump pain associated with neuroma from symptoms related to chronic infection or inflammation, ulceration secondary to vascular insufficiency or infection, bone sequestration, heterotopic bone, foreign substances, hematomas, and atrophic stump muscles (4). Ultrasonographic, computed tomographic, and MR imaging findings of neuroma have been discussed, and awareness of these findings may avoid misinterpretation of neuroma as a recurrent lesion (2,(7)(8)(9).…”

Section: Discussionsupporting

confidence: 88%

Paradoxic hypertrophy of the sciatic nerve in adult patients after above-knee amputation

Kerimoğlu

Canyiğit

2007

Acta Radiol

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Paradoxic hypertrophy of nerve tissue at an amputation stump without neuroma formation rarely develops in young patients, in contrast to atrophy of the nerve in older patients. Herein, we present the magnetic resonance imaging (MRI) findings of adult patients (older than 20 years old) who underwent above-knee amputation, one of whom had a palpable mass suggesting a recurrent lesion. MRI ruled out the recurrent lesion and demonstrated paradoxic hypertrophy of the sciatic nerve in all patients.

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Section: Discussionsupporting

confidence: 88%

Paradoxic hypertrophy of the sciatic nerve in adult patients after above-knee amputation

Kerimoğlu

Canyiğit

2007

Acta Radiol

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“…[3][4][5][6][7][8][9][10][11][12][13] Neuroma was first described by Odier in 1811 as an extremely sensitive bulbous stump of a transected nerve. 14 Neuromas either develop as part of a normal reparative process after nerve injury 15,16 or as a result of chronic irritation, pressure, stretch, poor repair of nerve lesions or previous neuromas, laceration, crush injury, or blunt trauma to nerves. 17 They typically develop approximately 6 to 10 weeks after trauma with most presenting within 1 to 12 months after injury or surgery.…”

Section: Pathophysiologymentioning

confidence: 99%

“…Ultrasound guidance may also be useful for needle biopsy to further confirm the diagnosis, if necessary. 14 ultrasound adds to its usefulness in interventional trajectory planning by avoiding vascular structures (Fig. 3).…”

Section: Diagnosismentioning

confidence: 99%

Painful Neuromas

Rajput

Reddy

Shankar

2012

The Clinical Journal of Pain

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Neuromas develop as part of a normal reparative process following peripheral nerve injury. Painful neuromas can induce intense pain resulting in immense suffering and disability. MRI aids the diagnosis, but, ultrasound imaging allows cost effective accurate diagnosis and localization of neuromas by demonstrating their direct contiguity with the nerve of origin. Management options for painful neuromas include pharmacotherapy, prosthetic adjustments, steroid injection, chemical neurolysis, cryoablation, and radiofrequency ablation. Ultrasound imaging guidance has improved the success in localizing and targeting the neuromas. This review discusses the patho-physiology and accumulated evidence for various therapies and the current percutaneous interventional management options for painful neuromas.

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“…On the other hand, drawing attention also to the accompanying cortical changes in 23.1% of the patients, our results need to be complemented with future studies. Furthermore, highlighting the benefits of sonography also concerning the other soft tissue problems regarding the stump, 13,14 we imply that sonography is also beneficial for the evaluation of PT problems in amputee patients.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of the Patellar Tendon in Transtibial Amputees

Özçakar

Kömürcü

Safaz

et al. 2009

Prosthetics &Amp; Orthotics International

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This study aimed to provide sonographic imaging of the patellar tendon (PT) -one of the main weight bearing structures for prosthetic use -in transtibial amputees. Thirteen males, who had been under follow-up for unilateral traumatic transtibial amputations, were enrolled. After physical examination of the limb, pain was evaluated by visual analogue scale and Leeds Assessment of Neuropathic Symptoms and Signs. Sonographic evaluations were performed by using a linear array probe (Aloka UST-5524-7.5 MHz) on both sides. Measurements pertaining to the contralateral limbs were taken as controls. In three subjects (23.1%), two with a silicone liner and one with a pelite liner, cortical irregularities were detected at the tibial insertion of the PT on the amputated sides. PTs were found to be thicker on the amputated sides when compared with those of the contralateral sides (p ¼ 0.03), and this increase in thickness correlated with disease duration (r ¼ 0.67, p ¼ 0.01). Overall, our preliminary results imply that after transtibial amputation, PTs of the amputated sides tend to become thicker by time. These findings need to be complemented with future studies. In this regard, sonography seems to be promising for imaging the soft tissue problems of the stump.

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Amputation stump neuroma: Ultrasound features

Cited by 63 publications

References 13 publications

Paradoxic hypertrophy of the sciatic nerve in adult patients after above-knee amputation

Paradoxic hypertrophy of the sciatic nerve in adult patients after above-knee amputation

Painful Neuromas

Evaluation of the Patellar Tendon in Transtibial Amputees

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